Winter 2000 - Volume 4 Number 1
A Retrospective Review of 2076 Prostate Ultrasonograms in One Urology Practice.
This article presents data about a large number of prostate ultrasound examinations done from 1989-1997 as a screen for prostate cancer. Almost all had biopsies, usually multiple ones. The article includes much information about relationships of traits (eg, prostate size, PSA levels, digital rectal exam results, age, and ultrasound data, singly and in combination) to likelihood of cancer.
Improvement in Quality-of-Life Indicators for Patients Suffering from Chronic Pain Syndromes.
This article describes the use of a special Internal Medicine Pain Clinic for the purpose of addressing physician and patient concerns about chronic pain management for nonmalignant conditions. Subjective questionnaire responses indicated improvement in most categories, including severity of pain. The author attributes much of this improvement to the supportive atmosphere of the special clinic.
Kaiser Permanente Medicine 50 Years Ago:
The reprinted 56-year-old article by an early Kaiser Permanente physician about infectious hepatitis describes clinical, laboratory, and pathology features as well as the scanty information then available about epidemiology, etiology, prognosis, and treatment. The accompanying current Commentary points out what was known and unknown in 1944 in the context of many features of current understanding of viral hepatitis.
The Medicine Wheel: Understanding "Problem" Patients in Primary Care.
A physician who is also a full-blooded Mohawk Indian describes how the Medicine Wheel concept from Native American culture has influenced his own life philosophy and his approach to patients. The universality of the Medicine Wheel concept and the benefits of its application when caring for patients are discussed in a highly personal way.
•A Conversation With Jed Weissberg, MD, On Defining Permanente Medicine
•The Principles of Permanente Medicine
•The Permanente Medicine Roundtable: Defining our Practice Principles
•The Permanente Medicine Map
A cutting-edge commentary on a topic so important to all Permanente clinicians.
Notes From the Permanente Executive Conference--Improving the Health Care Value Equation: Access, the Care Experience and Resource Management.
Readers will find this summation of a recent Permanente leadership conference to be interesting and complementary to the other articles on Permanente Medicine in this section.
This paper illustrates the potential that present day technology can offer to assist both clinicians and patients.
High Tech--High Touch: Dilemma or Solution
Wave that Kaiser Permanente Flag with Pride!
Patients' Bill of Rights? Or Wrongs?
Don Parsons gives us his insight on what is happening with the Patients' Bill of Rights Act of 1999 legislation now in conference committee. He looks at what the final version of the bill sent to the President might look like and what impact this legislation will have on the managed care industry and specifically Kaiser Permanente.
Mission: Cataract USA
Since 1996, a dedicated group of Kaiser Permanente physicians, nurses, and clinical staff from Sacramento, California have donated their time to provide free cataract surgery to uninsured patients. This program has benefited the community by returning people to gainful employment and improving quality of life. The program has received a local business community award and many thanks from the grateful recipients of their expert care.
Abstracts of articles authored or coauthored by Permanente clinicians
"Protecting The Gift: Keeping Children and Teenagers Safe (and Parents Sane)"
Primer of Epidemiology, 4th Ed.
Soul of the Healer
Out of the Closet--Why Gay and Lesbian Doctors Have an Important Role to Play in Healthcare
The Lighter Side of Medicine
Life on the Sunnyside